Frequently Asked Questions

Am I required to enroll in Medicare when I turn 65?

Enrollment in Medicare at age 65 is generally recommended but not always required. It depends on your specific circumstances. If you're already receiving Social Security benefits, you'll be automatically enrolled in Medicare Part A and Part B. If not, you may need to actively enroll. Keep in mind that delaying enrollment may result in penalties, so it's essential to understand your eligibility and options.

How do I enroll in Medicare?

Enroll in Medicare through Social Security online, by phone, or in person. After obtaining Original Medicare, Nexus Medicare Solutions can assist in enrolling in additional plans like Medicare Advantage and Medicare Supplement plans tailored to your specific healthcare needs.

What is a Medicare Advantage plan?

A Medicare Advantage plan, also known as Medicare Part C, is an alternative to Original Medicare (Part A and Part B) offered by private insurance companies. These plans often include additional benefits such as prescription drug coverage, vision, dental, and wellness programs. They can be a comprehensive option for those looking for more than basic Medicare coverage.

What is a Medicare Supplement plan?

A Medicare Supplement plan, or Medigap, is a type of insurance policy that helps fill the gaps in coverage left by Original Medicare. These plans are offered by private insurers and can help cover costs like deductibles, copayments, and coinsurance. They work alongside your Original Medicare coverage.

When can I make changes to my Medicare plans?

You have specific periods during which you can make changes to your Medicare plans. The Annual Enrollment Period (AEP) runs from October 15th to December 7th each year. During this time, you can switch Medicare Advantage or Part D plans. There are also Special Enrollment Periods (SEPs) for specific circumstances, such as moving or losing other coverage.

Does Medicare cover dental?

Original Medicare (Part A and Part B) typically does not cover routine dental care, such as cleanings and fillings. However, some Medicare Advantage plans may offer dental coverage as part of their benefits package. It's essential to review plan details to understand what dental services are included.

Can I only see doctors in a network when enrolled in Medicare?

If you choose Original Medicare, you have the flexibility to see any healthcare provider who accepts Medicare. However, if you opt for a Medicare Advantage plan, you'll generally need to use doctors and healthcare facilities within the plan's network. It's crucial to check a plan's network before enrollment.

Can I change Medicare Supplement plans during Annual Open Enrollment?

No, Medicare Supplement plans do not have an Annual Open Enrollment period like Medicare Advantage and Part D plans. You can apply for a Medicare Supplement plan at any time during the year, but it's advisable to do so during your Initial Enrollment Period for the most favorable terms. After that period, you may be subject to medical underwriting.

Do plans cost more money when using a broker?

No, the plans cost the same with or without our help.

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800 MEDICARE to get information on all of your options.